Colon cancer disguised as intussusception in a young adult: A case report

Medical Reports Pub Date : 2024-10-15 DOI:10.1016/j.hmedic.2024.100119

Anthony El Dada , Yara El Ratel , Mandy El Khoury , Karam Karam , Mahmoud Othman

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Abstract

Background

Intussusception is exceedingly rare in adults and is often unthought off as a differential diagnosis for abdominal pain. Here, we describe the case of intussusception in a young female unveiling colon adenocarcinoma.

Case presentation

A 36-year-old female, previously healthy, presented for abdominal pain and bloody diarrhea of 2 days duration. The patient was initially treated for Amebiasis. She sought medical care the next day with tenesmus and lancinating abdominal pain, leading to hospitalization for further work-up. Computed tomography (CT) scan revealed an obstruction of the large bowel with dilation of the transverse colon reaching 6 cm. The obstruction was caused by a collapsed, intussuscepted descending colon, with mesenteric fat and vessels telescoped into its lumen along with a 3.7 cm wall thickening. She was scheduled for surgical repair.

Conclusion

A well-timed CT scan is necessary for favorable patient outcomes. Due to their rare occurrence in young adults, intussusception and colon cancer, could potentially go undiagnosed.

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伪装成肠套叠的年轻成人结肠癌：病例报告

背景肠套叠在成人中极为罕见，通常不被认为是腹痛的鉴别诊断之一。在此，我们描述了一例年轻女性肠套叠病例，揭开了结肠腺癌的神秘面纱。病例介绍一名 36 岁女性，之前身体健康，因腹痛和持续两天的血性腹泻就诊。患者最初因阿米巴病接受治疗。第二天，她因排便困难和腹痛而就医，住院接受进一步检查。计算机断层扫描（CT）显示大肠梗阻，横结肠扩张达 6 厘米。梗阻的原因是降结肠塌陷、肠套叠，肠系膜脂肪和血管伸入肠腔，肠壁增厚 3.7 厘米。她被安排进行手术修补。由于肠套叠和结肠癌罕见于青壮年，因此有可能得不到诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Medical Reports

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